Individual provider Active NPI

Jacqueline Harkins, OTR/L, MS, CNS

  • Neurorehabilitation Occupational Therapist
  • Westwood, NJ
National Provider Identifier
1093457962
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
46TR00751100 Issued in NJ
Practice address
99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3012
Phone
(845) 380-3486
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 46TR00751100 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3012

Mailing address

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3012
Phone (845) 380-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808001131 NJ Practitioner - Occupational Therapist in Private Practice 9133501158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Neuro Rehab LLCGroup PAC ID 4789066705, 11 clinicians

Practice addresses (Care Compare)

99 Kinderkamack Rd
Suite 100
Westwood, NJ 07675-3012
Phone (845) 649-4531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Neuro Rehab, LLC Neurorehabilitation CurrentSince Aug 1, 2022 Accepting new patients
Fox Rehabilitation Services Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

99 Kinderkamack Rd
Ste 100
Westwood, NJ 07675
Phone (201) 383-0826

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1093457962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "845-380-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "845-380-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "JACQUELINE",
        "credential": "OTR/L, MS, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-07-05",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00751100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.